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Ump Payment Request

This form is for requesting payment for Fort Myers Baseball League contests where payment was not received either due to forfeit, default, or rain out. Please complete this form in full to ensure prompt and proper payment of your game fee.

* Game Date:

* Amount / Reason of Requested Payment:

* Umpire Full Name:

* Email Address:

* Phone Number:

* Address to Send Payment to:

* indicates required fields

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